| NPI | 1821128372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT R38205) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000998) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |